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General NPI Number Information
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NPI Number | 1265393144
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Entity Type | Organization
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Legal Business Name | SYNERGY SOMATIC PSYCHOTHERAPY
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 16 N MARENGO AVE STE 405
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City | PASADENA
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State | CA
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Zip | 91101-6114
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Country | US
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Telephone | 818-630-9961
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Fax |
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Provider Business Mailing Address
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Address Line | 16 N MARENGO AVE STE 405
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City | PASADENA
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State | CA
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Zip | 91101-6114
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Country | US
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Telephone | 818-630-9961
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARIANNE MACBEAN
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Credential | LMFT
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Telephone | 323-365-6627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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